John Demask, D.O. Valid NPI

Individual provider · Family Medicine Physician · Minooka, IL

NPI

1174501134

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

036094869 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2006-01-09

Last updated

2007-07-08